Beachwood Emergency Medical Services Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1511007 Issued in NJ

Legal business name

BEACHWOOD EMERGENCY MEDICAL SERVICES INC.

Practice address

4 Beachwood Blvd
Beachwood, NJ 08722-2913

Phone

(732) 281-8470

NPI assigned

Dec 19, 2017

Organization subpart

No

Name

Robert Brown

Title

President

Phone

(732) 281-8470

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in NJ

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2017.

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1063928646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170700726",
            "telephone_number": "717-724-4136",
            "fax_number": "717-635-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BEACHWOOD BLVD",
            "city": "BEACHWOOD",
            "state": "NJ",
            "postal_code": "087222913",
            "telephone_number": "732-281-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHWOOD EMERGENCY MEDICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-281-8470"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NJ",
            "license": "1511007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 21 Plus, Inc.
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• Elizabeth Olayinka Akinlolu
• Kyrsten Maria Asbjorn, ATC
• Beachwood Dental Arts, LLC
• Beachwood Low Back Rehab Center
• Beautiful Minds Counseling Center, LLC
• Michael Lee Bellish
• Natalie Boyle, M.A. LPC
• Susan a. Alice Bucino, RN

• All providers in Beachwood, NJ
• Land Ambulance in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.